DCA10FA076

NTSB accident investigation · Boeing 767 · Pacific Ocean (Pacific Ocean) · July 15, 2010

Accident · Serious injuriesField investigationFinal report
Date
July 15, 2010, 02:00 local (02:00 UTC)
Place
Pacific Ocean (Pacific Ocean)
Injuries
1 serious, 201 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N184DNBoeing 767
Defining event
Enroute-cruise: Clear air turbulence encounter
Weather
Visual (VMC) · Day
Status
Completed · report April 29, 2011
Report
Approved by Office Director
NTSB office
Major Investigations Division
Case key
76666

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

an inadvertent encounter with clear air turbulence.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Turbulence: clear air turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on personnelBoeing 767-332: 1 caseAll aircraft: 78 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

According to the captain of the flight, at the time of the turbulence encounter he was navigating around scattered cloud build-ups. Nothing was showing on radar. The injured flight attendant stated that she was walking down the aisle between the mid galley and the aft galley and fell to the floor at the time of the turbulence encounter. According to the operator, no turbulence was forecast for the area in which the airplane was flying at the time of the turbulence encounter. In addition, satellite imagery revealed that the airplane was in an area not conducive to turbulence when the event occurred. According to the flight data recorder, the vertical acceleration during the turbulence encounter varied between +1.5 g and -0.3 g. The encounter lasted about 5 seconds.

Factual narrative

History of Flight: On July 15, 2010, at about 0200 UTC, a Boeing 767-332ER, registered in the United States as N184DN and operated by Delta Airlines, encountered turbulence at flight level 360 near TOESS intersection north of Antonio B. Won Pat International Airport (GUM) Guam. One flight attendant suffered a broken ankle during the turbulence event. The flight had departed GUM at 1125 UTC and landed at Narita International Airport (NRT), its original destination, at 0344 UTC. None of the other 192 passengers or 9 crewmembers were injured. The flight was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 121, and was on an instrument flight rules flight plan, and flying in visual meteorological conditions at the time of the event. According to the captain of the flight, at the time of the turbulence encounter he was navigating around scattered cloud build-ups. Nothing was showing on radar, as he adjusted the antenna tilt between -1 and -5 degrees. At that time the seatbelt sign was not illuminated. According to the injured flight attendant, she was walking down the aisle between the mid galley and the aft galley and fell to the floor at the time of the turbulence encounter. Injuries: None of the other 9 crewmembers or the 192 passengers were injured. Damage to Airplane: The airplane was not damaged. Meteorological Information: According to the operator, no turbulence was forecast for the area in which the airplane was flying at the time of the turbulence encounter. In addition, satellite imagery revealed that the airplane was in an area not conducive to turbulence when the event occurred. Medical and Pathological Information: The injured flight attendant was examined by a physician passenger who did not provide a diagnosis. She declined medical treatment upon arrival at Narita and proceeded to her home base of Minneapolis before seeking further medical advice. Upon arrival home, she saw a doctor who stated that her ankle was broken. Flight Data Recorder: According to the flight data recorder, the vertical acceleration during the turbulence encounter varied between +1.5 g and -0.3 g. The encounter lasted about 5 seconds.

Aircraft

Registration
N184DN
Reported as
Boeing 767 (332ER)
Category
Airplane
Damage
No damage
Flight
Part 121
Operator
Delta Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
GUM · Hagatna
Destination
NRT · Narita
Flight plan
IFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Weather

Conditions
Visual (VMC) · Day